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The future of the Affordable Care Act (ACA) is uncertain. After the 2016 elections, the Republican-led Congress and the Trump administration signaled that repealing and replacing the ACA was one of their primary goals, although developing a viable replacement policy has proven to be extremely difficult. The American Health Care Act was passed by the House of Representatives in 2017; however, the Senate signaled that rather than vote on the bill, they would draft their own legislation. It is unclear which portions of the ACA will remain intact, which portions might be eliminated, and what various replacement strategies may look like. Nevertheless, many of the replacement proposals share common features, one of which is to lower the price of insurance policies via a national marketplace for health insurance that would allow consumers to purchase health insurance across state lines.

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